Hershey Participation Form

Please complete the participation form after registering with Andrea Smith, the General Manager of the KOA, at (717) 865-6411.

DO NOT register online. Payment of $20 for two, $10 for single is due via Venmo  ( @MaryLSoro-CA ) immediately after completion of the participation form. Thank you, we’re looking forward to seeing you at the Rally!

Name *

First

Last

Co-Pilot - If none, say None in field. *

First

Last

Year and Floorplan of the RV (2016 J, 2021 D, etc) *

Address *

Enter your full street address.

City, State and Zip *

Enter the City, State and Zip code of your residence. (EX: Forest City, IA 50436)

Phone Number *

Phone in format xxx-xxx-xxxx

Email *

Reservation Status *

• I made a reservation
• I want to be on the wait list

I am at site # *

Enter site number

Additional Informtion

• I need a Permanent Name Tag
• I'm interested in Helping
• I'm interested in giving a talk - mention the subject in the comments.

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